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过敏与免疫学培训中的经验教训:一项调查分析

Lessons learned in allergy and immunology training: a survey analysis.

作者信息

Cyr Chloe, Cyr Michael, Quirt Jaclyn, Connors Lori

机构信息

Medical Sciences Undergraduate Program, Dalhousie University, 5657 Spring Garden Rd, Suite 503, Halifax, Canada.

Medicine, McMaster University, Hamilton, Canada.

出版信息

Allergy Asthma Clin Immunol. 2022 Jan 31;18(1):7. doi: 10.1186/s13223-022-00649-3.

DOI:10.1186/s13223-022-00649-3
PMID:35101097
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8802268/
Abstract

BACKGROUND

There is currently little Canadian data to assess how well traditional time-based residency training programs have prepared residents for careers in Clinical Immunology and Allergy (CIA). This study aims to identify the perceived preparedness of residents in various areas of practice upon the completion of a Canadian CIA residency training program.

METHODS

In the summer of 2020, an electronic survey was sent to 2018 and 2019 graduates of Canadian CIA training programs by the Canadian Society of Allergy and Clinical Immunology (CSACI).

RESULTS

Former residents felt well prepared in most Medical Expert areas. Residents felt less prepared for the intrinsic roles of Leader, Communicator, Collaborator, Health Advocate, Scholar, and Professional. The majority of the intrinsic competencies were learned through mentorship and on the job after finishing training.

CONCLUSIONS

Upon completion of training, Canadian CIA residents felt well prepared for many competencies, particularly in Medical Expert areas. Training programs may wish to focus on various intrinsic competencies in order to better prepare residents for transition to practice. Academic half-day was not identified as a primary learning centre for intrinsic competencies, suggesting that new teaching strategies may be required.

摘要

背景

目前加拿大几乎没有数据来评估传统的基于时间的住院医师培训项目在让住院医师为临床免疫学和过敏症(CIA)职业做好准备方面的效果如何。本研究旨在确定加拿大CIA住院医师培训项目结束后,住院医师在各个实践领域的自我认知准备情况。

方法

2020年夏天,加拿大过敏与临床免疫学会(CSACI)向2018年和2019年毕业于加拿大CIA培训项目的人员发送了一份电子调查问卷。

结果

往届住院医师在大多数医学专家领域感觉准备充分。住院医师对领导者、沟通者、协作者、健康倡导者、学者和专业人员等内在角色的准备感觉不足。大多数内在能力是在培训结束后通过导师指导和工作实践学到的。

结论

培训结束后,加拿大CIA住院医师对许多能力,特别是医学专家领域的能力,感觉准备充分。培训项目可能希望关注各种内在能力,以便更好地让住院医师为过渡到实际工作做好准备。学术半天时间未被确定为内在能力的主要学习中心,这表明可能需要新的教学策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc2f/8805263/cd56675bef25/13223_2022_649_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc2f/8805263/136b78c482fd/13223_2022_649_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc2f/8805263/cd56675bef25/13223_2022_649_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc2f/8805263/136b78c482fd/13223_2022_649_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc2f/8805263/cd56675bef25/13223_2022_649_Fig2_HTML.jpg

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本文引用的文献

1
The Life After Surgical Residency (LASR) Curriculum for Surgical Residents: Addressing the Nonclinical Barriers to Preparedness for Independent Practice.外科住院医师的外科住院医师术后生活(LASR)课程:解决独立执业准备中的非临床障碍。
J Surg Educ. 2020 Mar-Apr;77(2):254-259. doi: 10.1016/j.jsurg.2019.09.017. Epub 2019 Nov 11.
2
Program directors in surgery agree that residents should be formally trained in business and practice management.外科项目主任一致认为,住院医师应该接受商业和实践管理方面的正规培训。
Am J Surg. 2005 Jan;189(1):11-3. doi: 10.1016/j.amjsurg.2004.05.002.